Nursing Science, Faculty of Science and Agriculture, University of Zululand, KwaDlangezwa, South Africa.
Faculty of Health Sciences, Durban University of Technology, Ritson Campus, Durban, South Africa.
Int J Health Care Qual Assur. 2021 Feb 2;ahead-of-print(ahead-of-print):94-109. doi: 10.1108/IJHCQA-08-2018-0210.
The quality of maternal healthcare training is the most optimal degree of health in the delivery of effective, efficient and quality healthcare in midwifery discipline. Student accoucheurs studying at the Free State School of Nursing are faced with resistance, discrimination, rejection and unacceptability by pregnant women during their clinical placement at the Free State maternal healthcare institutions. This results in poor quality of training of student accoucheurs in maternal healthcare. Considerable studies have been conducted on males in midwifery nursing, but no guidelines have been developed to facilitate student accoucheurs' acceptance and improvement of the quality of training in maternal healthcare, hence the purpose of this study.
DESIGN/METHODOLOGY/APPROACH: A descriptive, explorative qualitative design was used in this study. Qualitative focused group discussions ( = 32) were conducted through purposeful sampling method. Data was analysed thematically.
Three main categories emerged: student accoucheurs' related factors with social interactions and relations as a theme; maternal healthcare users' related factors with transcultural diversity and socio-economic status as themes; nurse training institutions and maternal healthcare institutions service providers-related factors with gender inequality in the work place as a theme. Ultimately, the guidelines to facilitate acceptance and improvement of quality training of student accoucheurs in maternal healthcare institutions were developed and recommended for implementation.
ORIGINALITY/VALUE: The paper developed guidelines to facilitate acceptance and improvement of quality training of student accoucheurs in Free State maternal healthcare institutions.
孕产妇保健培训的质量是助产学科中提供有效、高效和优质医疗保健的最佳健康程度。在自由州护理学校学习的助产士学生在自由州孕产妇保健机构的临床实习中面临着来自孕妇的抵制、歧视、拒绝和不可接受。这导致了学生在孕产妇保健方面培训质量较差。对助产士中的男性进行了相当多的研究，但没有制定指导方针来促进学生助产士的接受和提高孕产妇保健培训的质量，因此进行了这项研究。
设计/方法/方法：本研究采用描述性、探索性定性设计。通过目的抽样法进行了定性焦点小组讨论（=32）。数据进行了主题分析。
出现了三个主要类别：与社会互动和关系有关的学生助产士相关因素作为一个主题；孕产妇保健用户相关因素，以跨文化多样性和社会经济地位为主题；护士培训机构和孕产妇保健机构服务提供者相关因素，以工作场所的性别不平等为主题。最终，制定了促进学生助产士在自由州孕产妇保健机构接受和提高培训质量的指南，并建议实施。
原创性/价值：本文制定了促进自由州孕产妇保健机构学生助产士接受和提高培训质量的指南。
